Organization
LEXINGTON HALL ENTERPRISE CORP
Active
Other names
LIH Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
EASTLYN GEORGE (CEO/PRESIDENT)
(484) 343-2686
Entity
Organization
Contact information
Practice address
175 HAWTHORNE ST, STE 5B, BROOKLYN, NY 11225
(570) 581-2799
Mailing address
RR5-5147A - HTY RD, KUNKLETOWN, PA 18058-9404
(484) 343-2686
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NY
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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